GREENWOOD SPORTS AND INDUSTRIAL REHAB (NPI# 1235292509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235292509 |
| Entity Type | Organization |
| Organization Name | GREENWOOD SPORTS AND INDUSTRIAL REHAB |
| Practice Address |
1602 Spring St Greenwood SC 29646-4072 |
| Mailing Address |
105 Broken Ridge Dr Greenwood SC 29646-7920 |
| Practice Telephone | 8642299000 |
| Practice Fax Number | 8642295474 |
| Mailing Telephone | 8642299580 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. LAURIE MCDONALD PETTIT (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 8642299000 |
| Authorized Official Credential | B.S. IN R.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
1724 | SC | Ambulatory Health Care Facilities |
| Street Address |
1602 SPRING ST |
| City | GREENWOOD |
| State | SC |
| Zip Code | 29646-4072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679634364 | Michele R Phillips | Physical Therapist | 1602 Spring St, Greenwood, SC 29649 | 2006-12-13 |
| 1215141361 | Laurie M Pettit | Physical Therapist | 1602 Spring St, Greenwood, SC 29646 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114535416 | Supriya Lal | Dietitian, Registered | 303 Parkwood Rd, Greenwood, SC 29646 | 2020-07-22 |
| 1174158406 | Mara L Schwartz | Registered Nurse | 1226 Spring St., Diabtes Education Department, Greenwood, SC 29646 | 2020-03-06 |
| 1487213724 | Greater Greenwood United Ministry | Family Medicine | 1404 Edgefield Street, Greenwood, SC 29646 | 2019-06-11 |
| 1346747995 | Kelli Diane Clune | Nurse Practitioner | 115 E Alexander Ave, Greenwood, SC 29646 | 2018-04-10 |
| 1184150112 | Sanquinette Sanders Brownlee | Nurse Practitioner | 929 Phoenix Stret, Clinica Gratis, Greenwood, SC 29646 | 2017-05-11 |
| 1194258426 | Kimberley Lovejoy | Assistant Behavior Analyst | 210a Birchtree, Greenwood, SC 29646 | 2017-04-04 |
| 1427590900 | Rejuvenation Massage By Frances | Clinic/Center | 610 Chace Avenue, Greenwood, SC 29646 | 2016-11-15 |
| 1932651643 | Hayley Smith | Counselor | 110 Court Ave W, Greenwood, SC 29646 | 2016-10-28 |
| 1942757927 | Towanda Morton | Community Health Worker | 303 Suite B South Main Street, Greenwood, SC 29646 | 2016-09-07 |
| 1770039976 | Bragan Mace | Pharmacist | 1376 South Main St., Greenwood, SC 29646 | 2016-08-28 |
| Find all providers in zip 29646 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225403843 | Bohannan Physical Therapy LLC | Clinic/Center | 3712 Brighton Pl, Greenwood, AR 72936-6850 | 2015-12-08 |
| 1154692481 | Mcl Therapy LLC | Clinic/Center | 250 Old Hackett Rd, Greenwood, AR 72936-4704 | 2012-01-18 |
| 1922384080 | Kids Abilities Indiana, Inc. | Clinic/Center | 1788 Windward Dr, Greenwood, IN 46143-8408 | 2011-11-02 |
| 1497978001 | Physiotherapy Associates, Inc. | Clinic/Center | 3177 Meridian Park Dr, Greenwood, IN 46142 | 2007-04-11 |
| 1275515959 | Greenwood Physical Therapy Center, Inc. | Clinic/Center | 515 Forrest Park Way, Greenwood, AR 72936-5955 | 2005-11-17 |
| 1104343573 | Ufit Inc | Clinic/Center | 2801 Fairview Pl Ste A, Greenwood, IN 46142-1339 | 2017-08-27 |
| 1184166266 | Hayden Physical Therapy | Clinic/Center | 586 S State Road 135, Suite E, Greenwood, IN 46142-1439 | 2016-11-07 |
| 1417313925 | Bohannan Irgens Group LLC | Clinic/Center | 515 Forrest Park Way, Greenwood, AR 72936-5955 | 2016-01-13 |
| 1518363647 | Anderson Physical Therapy Clinic Inc | Clinic/Center | 212 Overland Dr, Greenwood, SC 29646-4069 | 2014-11-18 |
| 1225353154 | Piedmont Physical Therapy, Inc. | Clinic/Center | 234 Birchtree Dr, Greenwood, SC 29649-1502 | 2010-04-03 |
| Find all providers in GREENWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.